Healthcare Provider Details

I. General information

NPI: 1063494698
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION AND HOSPICE OF VT AND NH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 05/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 PROSPECT RD.
WHITE RIVER JUNCTION VT
05001-5405
US

IV. Provider business mailing address

88 PROSPECT RD.
WHITE RIVER JUNCTION VT
05001-5405
US

V. Phone/Fax

Practice location:
  • Phone: 888-300-8853
  • Fax: 603-298-3389
Mailing address:
  • Phone: 888-300-8853
  • Fax: 603-298-3389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number03103
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03103
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number03104
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number03103
License Number StateNH
# 5
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number03103
License Number StateNH
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNH

VIII. Authorized Official

Name: GERRY BEST
Title or Position: DIRECTOR, REVENUE CYCLE
Credential:
Phone: 888-300-8853